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Aging Issues. Crisis in the US in expertise to care for the elderly populationCommon chronic conditions: Arthritis (49%), Hypertension (36%), Hearing Impairment(36%), Heart disease(27), Orthopedic impairment, cataracts, diabetes>74 yrs. 10% ADL Limitations; 19% IADL limitationMental Health proble
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1. THE MIDWESTERN GERIATRIC EDUCATION CENTER FRANK J. PREROST, PhD
DIRECTOR
2. Aging Issues Crisis in the US in expertise to care for the elderly population
Common chronic conditions: Arthritis (49%), Hypertension (36%), Hearing Impairment(36%), Heart disease(27), Orthopedic impairment, cataracts, diabetes
>74 yrs. 10% ADL Limitations; 19% IADL limitation
Mental Health problems often overlooked
20% mental disorders
Alcohol and medication abuse
Alcohol~25% heavy use; ~10 abuse
30% 8 or more medications Plus OTC
>65 yrs. 35 million (12.4% of population) in 2000.
70 million (20.6%) by the year 2030.
Older population is aging and > diversity
Past century: 65-74 yrs. 8x increase; 75-84 yrs. 16 x larger; 85+ 34x larger.
In 2030 1 in 4 ethnic/racial
3. Government Responses Aging and Medical Education
IOM Beeson Report, 1978
Call for increase in geriatric training
1987 IOM Report
Geriatrics should become a recognized academic discipline
Certificate of added qualification in geriatric medicine
Center of Excellence strategy
A National Research Agenda on Aging: Extending Life, Enhancing Life (IOM, 1991)
Need for new research
Strengthening Training in Geriatrics for Physicians (IOM, 1993)
Growth in resources needed (non-physicians)
Expand expectation for primary care physicians
Geriatric training for subspecialties
All physician training include geriatrics
4. Health Care Issues Geriatricians 5.5 per 10,000 population over 75 years.
Distribution > in East coast, NE, and CA.
25%of office visits made by persons >64 yrs.
By 2030 30% outpatient, 60% hospital, 95% nursing home practice
Only 27 out of 100+ non-pediatric specialties cover geriatrics (2004)
Medical students not selecting geriatrics
321 out of 9,780 graduates entered geriatric programs (2000)
Obstacles to geriatric training (Association of Directors of Geriatric Programs-2002)
Lack of senior faculty
Lack of research fellows
Lack of junior faculty
Lack of institutional support
Lack of access to medical school curriculum
Lack of clinical educator
Poor reimbursement
5. GERIATRIC EDUCATION CENTERS (GECs) Geriatric Education Centers (GECs) are established through competitive federal grants awarded by the Bureau of Health Professions of the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services.
The GECs develop and present continuing education programs to faculty and a variety of health care professionals to enhance geriatric care.
6. Geriatric Education Centers The Geriatric Education Center (GEC) Program provides grants to support collaborative arrangements that involve several health professions schools and health care facilities. Within defined geographic areas, GECs provide educational programs for health care professionals in the diagnosis, treatment, and prevention of disease and other health concerns of the elderly. .
Curriculum development and dissemination - over 1000 products, including elder abuse, ethics, interdisciplinary team care, rural access, teleconferencing, web-based modules, ethnogeriatrics, and improvement of quality care..
Training and retraining of faculty - It is estimated that about 8.2 million health care providers and 17,000 faculty will need training in geriatrics. The GECs are addressing this need. Finally, the GECs also provide students with clinical training in geriatrics in nursing homes, chronic and acute disease hospitals, ambulatory care centers, and senior centers.
7. Geriatric Education Centers The national network of Geriatric Education Centers (GECs) are dedicated to improving the education/training, supply, distribution and quality of health care professionals through strong community-academic partnerships.
Serves local communities and, together, the entire country.
Strengthens multi-disciplinary training of health professionals in assessment, chronic disease syndromes, care planning, and cultural competence unique to older Americans.
Has trained well over 450,000 health care professionals from all disciplines to better serve the burgeoning older adult population.
Is Cost-Effective: Low-cost professional geriatric training interventions create competent health care providers who can save taxpayers billions of dollars by making informed health care decisions.
Meets the critical need to prepare the United States health care workforce to care for the underserved, minorities, and aging baby boomers.
8. GERIATRIC EDUCATION CENTERS (GECs) The Bureau of Health Professions has a mission to provide leadership to improve the training, distribution, utilization, and quality of personnel required to staff the nations health care system.
Universities with a medical school are eligible to compete for a GEC.
9. The Midwestern Geriatric Education Center (MidGEC) was established July 1, 2001 through the award of a five year grant.
The MidGEC is one of 41 GECs funded in the U. S.
The MidGEC is mandated to provide service for professionals throughout the State of Illinois.
11. MidGEC: Our mission is to provide preeminent specialized education and training in an interdisciplinary mode to faculty and health care professionals in geriatrics and gerontology in order to enhance the medical and mental health care provided elderly persons with and without developmental disabilities.
12.
CONTINUING EDUCATION: Provide education in an interdisciplinary mode to physicians and other health care professionals of Illinois.
NETWORK DEVELOPMENT: Initiate a forum for faculty, researchers, and health care professionals.
RESOURCE AND CURRICULUM DEVELOPMENT: Develop and disseminate curricula and educational materials.
MENTAL HEALTH EDUCATION: Provide education on the assessment and treatment of emotional and cognitive disorders.
DEVELOPMENTAL DISABILITIES EDUCATION: Provide interdisciplinary education on the medical and mental health care of older adults with developmental disabilities.
MIDLEVEL EDUCATION: Provide specialized education for midlevel health care providers.
13. Accomplishments In 2004 reached ~1,200 health care professionals.
Co-Sponsored Programs
DuPage County Health Department
Area Health Education Center
Tele Health Network/IL Health Ed Consortium
Illinois Nurses Association
Illinois Osteopathic Medical Society
Illinois Occupational Therapy Association
Illinois Physical Therapy Association
Illinois Academy of Physician Assistants
University of Illinois Department of Family Medicine
University of Illinois Section of Geriatric Medicine
Active Seniors Options
Arthritis Foundation
14. PROGRAMS CERTIFICATE PROGRAM IN GERIATRICS FOR NON-PHYSICIANS
Fall and Spring
Multiple sites
BIOTERRORISM AND DISASTER PREPAREDNESS FOR LONG-TERM CARE FACILITIES
OMBUDSMAN TRAINING: HOW TO START A FAMILY COUNCIL AT A LONG TERM CARE FACILITY
15. SUMMER INSTITUTE in GERONTOLOGY: CERTIFICATE PROGRAM
TOPICS
Sociological Changes
Demographics
Family Issues
Physiological Changes
Normal Aging
Late Life Health Issues
Disease Prevention
Medication Issues
Death and Dying
Medical Ethics
Economics
Retirement
Working with Older Individuals
Psychological Change
Mental Health
Developmental Disabilities and Aging
Care Systems for Older Adults
Policy Issues
Dementia
Diversity in Aging
16. Recent Programs Clinical Refresher Course: Geriatric Program
Behavioral Health Issues and Geriatric Sexuality
Palliative Care
Understanding Severe Psychopathology: Psychosis vs. Neurosis
Alzheimers Disease Management:
Assessment, Treatment
Education,
and Support
17. CHRONIC CARE CONFERENCE2005 Conference Theme: Patient-Centered Care
Keynote Speakers
Thomas Cornwell, M.D.
House Calls: Improving Patient & Physician Satisfaction and the Bottom Line
Wendy Lustbader,M.S.W.
Living as Prescribed: Motivating Compliance in Geriatric Patients
Cheryl Woodson, M.D.
Geriatric Assessment in the Community: The Virtual Team
Workshops Offered:
Detecting and Responding to Elder Abuse & Neglect in Patients
Managing Difficult Behaviors
Substance Abuse and the Geriatric Patient
Medical management of chronic illnesses from a patient centered perspective
18. AGING RESOURCES AND TRAINING SERIES QUARTERLY PROGRAMS
Senior Housing
Paying for Prescription Medications: Medicare Part D and Changes to Circuit Breaker/Senior Care
19. RESOURCES Curriculum Modules
DEVELOPMENTAL DISABILITIES AND AGING: A TRAINING MANUAL FOR HEALTH PROFESSIONALS
Best Practice
DEMENTIA: MEDICAL ASPECTS AND WORKING WITH DEMENTIA PATIENTS
Videotapes
EFFECTIVE COMMUNICATION WITH SPECIAL POPULATIONS
PAKISTANI AND INDIAN ELDERS LIVING IN A CULTURALLY DIVERSE SOCIETY
Audiotapes
20. Publications
21. MIDWESTERN CENTER ON AGING Michelle Lee, Ph.D., Coordinator
Center of Aging strives to provide education to older adults, their families, and the larger community in Illinois on the interdisciplinary aspects of aging. In this manner, the Center on Aging serves as a direct link to the community to enhance and promote geriatric care in Illinois.
22. RESEARCH ACTIVITIES
Bipolar Project
Thresholds: Psychiatric Rehabilitation Centers
Winfield Wood: LTC Residence
Autism Spectrum Disorders Project
Center for Speech and Language Disorders
23. Information MidGEC Coordinator: Linda Seyler, MPE
Phone: 630-515-6944
MidGEC Web site: http://midgec.midwestern.edu
NAGEC website: http://www.nagec.org
The GEC Pipeline is a monthly newsletter of the GEC network.
24. Questions?